Open AccessEndovascular occlusion of the intracranial aneurysms: An alternative for surgical treatment
Author(s) -
Goran Tasić,
Mia Rakić,
Vesna Jovanović,
B.M. Djurovic,
Igor Nikolić,
M. Jokic,
D. Radulović,
Vojislav Bogosavljević
Publication year - 2008
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci0802097t
Subject(s) - medicine , neurovascular bundle , perioperative , occlusion , aneurysm , lumen (anatomy) , cavernous sinus , endovascular treatment , radiology , surgery
Aneurysms on cerebral blood vessels due to their localization, size, relationship with neurovascular structures, even today, represent besides the constant progress of the diagnostic techniques and instruments in the operating theaters, a great therapeutic challenge. Gigantic aneurysms, aneurysms localized within the cavernous sinus and aneurysms of the vertebrobasilary confluence carry a great perioperative risk of mortality and morbidity. In fact, development of the endovascular procedures for the occlusion of their lumen made possible great progress in the treatment of aneurysms of this localization. In a not so small number of cases endovascular procedure means remodeling of the lumen of the main blood vessel. Endovascular obliteration of aneurysms has a certain advantage as regards the surgical treatment of aneurysms in which, on the basis of the expected natural course and presumed operative risk, may be judged that there exists unacceptably great operative risk. We present a personal series and results in 6 patients with aneurysms of various localizations.